Individual
AMY JUSTINE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
57557 COUNTY ROAD 117, GOSHEN, IN 46528-1300
(248) 953-3277
Mailing address
57557 COUNTY ROAD 117, GOSHEN, IN 46528-1300
(248) 953-3277
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112260
—
Other
Enumeration date
11/08/2021
Last updated
03/22/2023
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